This video article presents the case of a 12 years-old male patient with an ependymoma grade II WHO CNS 2021, 1 located in the supramarginal and angular gyrus. The patient was right-handed and presented with complex partial seizures and de cits in lexical denomination, word retrieving, and verbal uency. Awake surgery with bipolar cortical 2,3 and sub- cortical mapping allows safe and gross total resection with no new de cits after surgery. 4-6 This surgical strategy highlights the effectiveness of awake surgery in pediatric neuro-oncology and demonstrates the collaboration among neurosurgeons, anesthesiologists, and neurophysiologists to achieve optimal patient outcome with the best patient’s collaboration. 7,8 No Institutional Review Board/ethics committee approval was required. Consent to procedure and to publication of PHI was obtained from the parents. The participants and any identi able individuals consented to publication of their image.
Brain mapping for surgical resection of left dominant supramarginal and angular gyrus grade II ependymoma: 2-dimensional operative video.
Luigi de Gennaro;Maria Teresa Bozzi;Francesco Signorelli
Writing – Original Draft Preparation
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2026-01-01
Abstract
This video article presents the case of a 12 years-old male patient with an ependymoma grade II WHO CNS 2021, 1 located in the supramarginal and angular gyrus. The patient was right-handed and presented with complex partial seizures and de cits in lexical denomination, word retrieving, and verbal uency. Awake surgery with bipolar cortical 2,3 and sub- cortical mapping allows safe and gross total resection with no new de cits after surgery. 4-6 This surgical strategy highlights the effectiveness of awake surgery in pediatric neuro-oncology and demonstrates the collaboration among neurosurgeons, anesthesiologists, and neurophysiologists to achieve optimal patient outcome with the best patient’s collaboration. 7,8 No Institutional Review Board/ethics committee approval was required. Consent to procedure and to publication of PHI was obtained from the parents. The participants and any identi able individuals consented to publication of their image.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.


